Organization
MYRTLE AVENUE TRADING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAKHMIN DEKHKANOV (MEMBER)
(347) 384-2789
Entity
Organization
Contact information
Practice address
7611 MYRTLE AVE, GLENDALE, NY 11385-7446
(347) 384-2789
(646) 968-9971
Mailing address
7611 MYRTLE AVE, GLENDALE, NY 11385-7446
(347) 384-2789
(646) 968-9971
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2050808-DCA
NY
Other
Enumeration date
07/18/2017
Last updated
10/02/2024
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